| Date of birth: | Oct 3, 1985 |
| Hair: | Bald |
| Eyes: | Blue |
| Number: | 00021229 |
| Booking date: | Oct 31, 2004 |
| Release date: | Nov 1, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POM- 20GM |
| Offense date: | Oct 31, 2004 |
| Bond amount: | $1,500 |
| Statute: | 893.147 - POP |
| Offense date: | Oct 31, 2004 |
| Bond amount: | $1,500 |
| Statute: | DEL.9999.999 - NO VEHICLE INSURANCE |
| Offense date: | Oct 31, 2004 |
| Bond amount: | $1,500 |
